FINANCIAL MANAGEMENT ADVANCED LEADERS COURSE 36B
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1 FINANCIAL MANAGEMENT ADVANCED LEADERS COURSE 36B Reconcile Daily Accountable Transactions PRACTICAL EXERCISE VERSION 1.0 March 2014
2 Reconcile Daily Accountable Transactions PE STUDENT INSTRUCTIONS OBJECTIVE: This practical exercise measures your ability to reconcile an agent s daily transaction/business day with their DD General Information: A. Disbursing Agent (DA): You B. Deputy Disbursing Officer (DDO): CPT John Doerr C. Disbursing Officer (DO): James R. Richardson, LTC, FC D. Cashier: Cashier #1 E. DSSN: 6348 F. Business Date: 1 December 2013 G. Exchange Rate: 3 Foreign Currency (FC) : 1 US Currency H. Beginning Balance: $15, from the previous day I. Cash on Hand COB 1 December: $5, US; 11, FC ($3,884.20) Instructions: You are assigned as the Disbursing Manger for the 23 rd FMSU, but have taken over as the Disbursing Agent while they are on leave. Today s business date is 1 December Your cashier has had trouble balancing out and has asked you to review their DD 1081 and identify what the cashier s mistake(s) is/are and what should be the correct amount(s) needed to balance out. You will be given the all of the cashier s documents from today s business date, along with their trial DD Information Verified as correct: 1. Beginning Balance 2. US/Foreign Currency returned verified as correct 3. Description of the Exchange Transactions listed below 4. Description of the Collection/Disbursement vouchers are correct as listed below 5. Assume the ECC Loads/Sales report and Batch List are correct as listed Exchange Transaction Information Listed below are the exchange transactions completed by the cashier: 1. PFC Jones cashed a personal check for $ CPT Kingston cashed out $150 off of his ECC for foreign currency. 3. 2LT Evans exchanged $200 for credit on her ECC. 4. SSG Lowe cashed $150 personal check for credit on his ECC. 5. SPC Halstead cashed out $165 off of her ECC for cash. 6. MAJ Waters cashed a $150 personal check for cash.
3 7. SGT Calhoun cashed out $85 off her ECC for foreign currency. 8. CW3 Anderson exchanged $225 for credit on her ECC. 9. SFC Snow cashed a $300 personal check for foreign currency. 10. A1C Dent cashed out $175 off his ECC for cash. 11. LCpl Nieves exchanged $300 cash for credit on her ECC. 12. LTC Matthews cashed out $275 off her ECC for cash. 13. GySgt Brown cashed a $165 personal check for credit on his ECC. 14. TSgt Eamon exchanged $75 and 225 FC for credit to his ECC LT Ingles exchanged 180 FC for credit to her ECC. Collection/Disbursement Voucher Information: 1. CPT Underwood made a SDP deposit for $3, with a personal check 2. A1C Waters paid his GPLD for $ with a personal check 3. SPC Martin made a SDP deposit for $2,365 with his ECC 4. GySgt Blackmon made a SDP deposit for $3, with a personal check 5. LCpl Dewese made a SDP deposit for $1, with a personal check 6. PFC Sweeney made a SDP deposit for $1, with a personal check 7. SPC Scales paid his GPLD for with a personal check 8. CPT Moore paid $2, in overpayment of entitlements with a personal check 9. PO1 Cole made a SDP deposit for $2, with her ECC
4 STATEMENT OF AGENT OFFICER S ACCOUNT DISBURSING OFFICER S NAME, ADDRESS, DISBURSING STATION SYMBOL NO. Your Name DISBURSING AGENT 23RD FMSU APO AE AGENT OFFICER S NAME, GRADE, SSN, UNIT ADDRESS (Include ZIP Code/APO number) and Telephone number) Cashier #1 XXX-XX-XXXX 23RD FMSU APO AE TRANSACTIONS a TRANSACTIONS AFFECTING AGENT OFFICER S ACCOUNT INCREASE (Received by Agent) b BEGINNING BALANCE (In Agent s Account) c DECREASE (Turned in by Agent) d ENDING BALANCE (In Agent s Account) e 1. BALANCE FORWARD 33, , U.S. DOLLARS 4, FOREIGN CURRENCY 2, MILITARY PAYMENT CERTIFICATES 5. COLLECTIONS 17, DEPOSITS 7. NEGOTIABLE INSTRUMENTS A. TREASURY CHECKS B. MILITARY PAYMENT ORDERS C. OTHER (Specify) Checks 13, PAID VOUCHERS 16, INCORRECT VOUCHERS RETURNED 10. SVC/ECC Loads 1, SVC/ECC Sales 5, TOTAL FUNDS IN HANDS OF AGENT OFFICER 51, , STATEMENTS DISBURSING OFFICER AGENT OFFICER ON ADVANCE: I HAVE INTRUSTED FUNDS AND/OR OTHER ITEMS AS INDICATED IN THIS STATEMENT TO THE ABOVE NAMED AS MY AGENT OFFICER. ON ADVANCE: I, AS AGENT OFFICER, HAVE FUNDS AND/OR OTHER ITEMS AS INDICATED ABOVE. I HAVE ASSUMED PECUNIARY RESPONSIBILITY THEREFOR. I WILL NOTIFY THE DISBURSING OFFICER IMMEDIATELY UPON DISCOVERY OF ANY LOSS OR SHORTAGE, AND I HAVE RECEIVED AND UNDERSTAND WRITTEN INSTRUCTIONS CONCERNING MY DUTIES AND RESPONSIBILITIES AS AN AGENT OFFICER. DATE SIGNATURE OF DISBURSING OFFICER DATE SIGNATURE OF AGENT OFFICER X ON RETURN: I HAVE RECEIVED FUNDS AND/OR ITEMS AS INDICATED ON THIS STATEMENT FROM THE ABOVE NAMED AGENT OFFICER. X ON RETURN: THE ABOVE STATEMENT OF ACCOUNT IS CORRECT. DATE 1 Dec 2013 SIGNATURE OF DISBURSING OFFICER DATE 1 Dec 2013 SIGNATURE OF AGENT OFFICER DD Form 1081, MAY 75 PREVIOUS EDITION IS OBSOLETE. Adobe Professional 8.0
5 STATEMENT OF AGENT OFFICER S ACCOUNT DISBURSING OFFICER S NAME, ADDRESS, DISBURSING STATION SYMBOL NO. Your Name DISBURSING AGENT 23RD FMSU APO AE AGENT OFFICER S NAME, GRADE, SSN, UNIT ADDRESS (Include ZIP Code/APO number) and Telephone number) Cashier #1 XXX-XX-XXXX 23RD FMSU APO AE TRANSACTIONS a TRANSACTIONS AFFECTING AGENT OFFICER S ACCOUNT INCREASE (Received by Agent) b BEGINNING BALANCE (In Agent s Account) c DECREASE (Turned in by Agent) d ENDING BALANCE (In Agent s Account) e 1. BALANCE FORWARD 15, , U.S. DOLLARS 12, FOREIGN CURRENCY 6, MILITARY PAYMENT CERTIFICATES 5. COLLECTIONS 6. DEPOSITS 7. NEGOTIABLE INSTRUMENTS A. TREASURY CHECKS B. MILITARY PAYMENT ORDERS C. OTHER (Specify) 8. PAID VOUCHERS 9. INCORRECT VOUCHERS RETURNED TOTAL FUNDS IN HANDS OF AGENT OFFICER 33, , STATEMENTS DISBURSING OFFICER AGENT OFFICER X ON ADVANCE: I HAVE INTRUSTED FUNDS AND/OR OTHER ITEMS AS INDICATED IN THIS STATEMENT TO THE ABOVE NAMED AS MY AGENT OFFICER. DATE SIGNATURE OF DISBURSING OFFICER 1 Dec 2013 X ON ADVANCE: I, AS AGENT OFFICER, HAVE FUNDS AND/OR OTHER ITEMS AS INDICATED ABOVE. I HAVE ASSUMED PECUNIARY RESPONSIBILITY THEREFOR. I WILL NOTIFY THE DISBURSING OFFICER IMMEDIATELY UPON DISCOVERY OF ANY LOSS OR SHORTAGE, AND I HAVE RECEIVED AND UNDERSTAND WRITTEN INSTRUCTIONS CONCERNING MY DUTIES AND RESPONSIBILITIES AS AN AGENT OFFICER. DATE SIGNATURE OF AGENT OFFICER 1 Dec 2013 ON RETURN: I HAVE RECEIVED FUNDS AND/OR ITEMS AS INDICATED ON THIS STATEMENT FROM THE ABOVE NAMED AGENT OFFICER. ON RETURN: THE ABOVE STATEMENT OF ACCOUNT IS CORRECT. DATE SIGNATURE OF DISBURSING OFFICER DATE SIGNATURE OF AGENT OFFICER DD Form 1081, MAY 75 PREVIOUS EDITION IS OBSOLETE. Adobe Professional 8.0
6 CASH COLLECTION VOUCHER 1. DISBURSING OFFICE COLLECTION VOUCHER RECEIVING OFFICE COLLECTION VOUCHER 3. RECEIVING OFFICE b. RECEIVED AND FORWARDED BY (Printed Name,Title and Signature) d. DATE (YYYYMMDD) 4. DISBURSING OFFICE 23rd FMSU APO,AE DSN: b. DISBURSING OFFICER (Printed Name, Title and Signature) JAMES R. RICHARDSON, LTC, FC, CMD 5. PERIOD: a. FROM: b. TO: 6. DATE RECEIVED 7. NAME OF REMITTER DESCRIPTION OF REMITTANCE 1Dec13 CPT Harold Underwood 127th TSB APO, AE DSN: DETAILED DESCRIPTION OF PURPOSE FOR WHICH COLLECTIONS WERE RECEIVED SDP Deposit Check # AMOUNT c. DISBURSING STATION SYMBOL 6348 d. DATE (YYYYMMDD) ACCOUNTING CLASSIFICATION $3, X201011D11 A76VV76VV K QLOG PC 11. TOTAL $3, DD FORM 1131, DEC 2003 PREVIOUS EDITION IS OBSOLETE.
7 CASH COLLECTION VOUCHER 1. DISBURSING OFFICE COLLECTION VOUCHER RECEIVING OFFICE COLLECTION VOUCHER 3. RECEIVING OFFICE b. RECEIVED AND FORWARDED BY (Printed Name,Title and Signature) d. DATE (YYYYMMDD) 4. DISBURSING OFFICE 23rd FMSU APO,AE DSN: b. DISBURSING OFFICER (Printed Name, Title and Signature) JAMES R. RICHARDSON, LTC, FC, CMD 5. PERIOD: a. FROM: b. TO: 6. DATE RECEIVED 7. NAME OF REMITTER DESCRIPTION OF REMITTANCE 1Dec13 A1C Taylor Waters 576th AMC APO, AE DSN: DETAILED DESCRIPTION OF PURPOSE FOR WHICH COLLECTIONS WERE RECEIVED GPLD Check # AMOUNT c. DISBURSING STATION SYMBOL 6348 d. DATE (YYYYMMDD) ACCOUNTING CLASSIFICATION D11 A76VV76VV K KNAQ TOTAL PC DD FORM 1131, DEC 2003 PREVIOUS EDITION IS OBSOLETE.
8 CASH COLLECTION VOUCHER 1. DISBURSING OFFICE COLLECTION VOUCHER RECEIVING OFFICE COLLECTION VOUCHER 3. RECEIVING OFFICE b. RECEIVED AND FORWARDED BY (Printed Name,Title and Signature) d. DATE (YYYYMMDD) 4. DISBURSING OFFICE 23rd FMSU APO,AE DSN: b. DISBURSING OFFICER (Printed Name, Title and Signature) JAMES R. RICHARDSON, LTC, FC, CMD DSN: PERIOD: a. FROM: b. TO: 6. DATE RECEIVED 1Dec13 SPC Earl Martin 710th MSB APO, AE NAME OF REMITTER DESCRIPTION OF REMITTANCE 8. DETAILED DESCRIPTION OF PURPOSE FOR WHICH COLLECTIONS WERE RECEIVED SDP Deposit ECC# AMOUNT c. DISBURSING STATION SYMBOL 6348 d. DATE (YYYYMMDD) ACCOUNTING CLASSIFICATION $2, X201011D11 A76VV76VV K QLOG ECC 11. TOTAL $2, DD FORM 1131, DEC 2003 PREVIOUS EDITION IS OBSOLETE.
9 CASH COLLECTION VOUCHER 1. DISBURSING OFFICE COLLECTION VOUCHER RECEIVING OFFICE COLLECTION VOUCHER 3. RECEIVING OFFICE b. RECEIVED AND FORWARDED BY (Printed Name,Title and Signature) d. DATE (YYYYMMDD) 4. DISBURSING OFFICE 23rd FMSU APO,AE DSN: b. DISBURSING OFFICER (Printed Name, Title and Signature) JAMES R. RICHARDSON, LTC, FC, CMD 5. PERIOD: a. FROM: b. TO: 6. DATE RECEIVED 7. NAME OF REMITTER DESCRIPTION OF REMITTANCE 1Dec13 GySgt George Blackmon 2-10th INF BN APO, AE DSN: DETAILED DESCRIPTION OF PURPOSE FOR WHICH COLLECTIONS WERE RECEIVED SDP Deposit Check # AMOUNT c. DISBURSING STATION SYMBOL 6348 d. DATE (YYYYMMDD) ACCOUNTING CLASSIFICATION $3, X201011D11 A76VV76VV K QLOG PC 11. TOTAL $3, DD FORM 1131, DEC 2003 PREVIOUS EDITION IS OBSOLETE.
10 CASH COLLECTION VOUCHER 1. DISBURSING OFFICE COLLECTION VOUCHER RECEIVING OFFICE COLLECTION VOUCHER 3. RECEIVING OFFICE b. RECEIVED AND FORWARDED BY (Printed Name,Title and Signature) d. DATE (YYYYMMDD) 4. DISBURSING OFFICE 23rd FMSU APO,AE DSN: b. DISBURSING OFFICER (Printed Name, Title and Signature) JAMES R. RICHARDSON, LTC, FC, CMD 5. PERIOD: a. FROM: b. TO: 6. DATE RECEIVED 7. NAME OF REMITTER DESCRIPTION OF REMITTANCE 1Dec13 LCpl Freida Dewese 97th MI BN APO, AE DSN: DETAILED DESCRIPTION OF PURPOSE FOR WHICH COLLECTIONS WERE RECEIVED SDP Deposit Check # AMOUNT c. DISBURSING STATION SYMBOL 6348 d. DATE (YYYYMMDD) ACCOUNTING CLASSIFICATION $1, X201011D11 A76VV76VV K QLOG PC 11. TOTAL $1, DD FORM 1131, DEC 2003 PREVIOUS EDITION IS OBSOLETE.
11 CASH COLLECTION VOUCHER 1. DISBURSING OFFICE COLLECTION VOUCHER RECEIVING OFFICE COLLECTION VOUCHER 3. RECEIVING OFFICE b. RECEIVED AND FORWARDED BY (Printed Name,Title and Signature) d. DATE (YYYYMMDD) 4. DISBURSING OFFICE 23rd FMSU APO,AE DSN: b. DISBURSING OFFICER (Printed Name, Title and Signature) JAMES R. RICHARDSON, LTC, FC, CMD 5. PERIOD: a. FROM: b. TO: 6. DATE RECEIVED 7. NAME OF REMITTER DESCRIPTION OF REMITTANCE 1Dec13 PFC Blair Sweeney 1-12 FA BN APO, AE DSN: DETAILED DESCRIPTION OF PURPOSE FOR WHICH COLLECTIONS WERE RECEIVED SDP Deposit Check # AMOUNT c. DISBURSING STATION SYMBOL 6348 d. DATE (YYYYMMDD) ACCOUNTING CLASSIFICATION $1, X201011D11 A76VV76VV K QLOG PC 11. TOTAL $1, DD FORM 1131, DEC 2003 PREVIOUS EDITION IS OBSOLETE.
12 CASH COLLECTION VOUCHER 1. DISBURSING OFFICE COLLECTION VOUCHER RECEIVING OFFICE COLLECTION VOUCHER 3. RECEIVING OFFICE b. RECEIVED AND FORWARDED BY (Printed Name,Title and Signature) d. DATE (YYYYMMDD) 4. DISBURSING OFFICE 23rd FMSU APO,AE DSN: b. DISBURSING OFFICER (Printed Name, Title and Signature) JAMES R. RICHARDSON, LTC, FC, CMD 5. PERIOD: a. FROM: b. TO: 6. DATE RECEIVED 7. NAME OF REMITTER DESCRIPTION OF REMITTANCE 1Dec13 SPC Quincy Scales 95th MP BN APO, AE DSN: DETAILED DESCRIPTION OF PURPOSE FOR WHICH COLLECTIONS WERE RECEIVED GPLD Check # AMOUNT c. DISBURSING STATION SYMBOL 6348 d. DATE (YYYYMMDD) ACCOUNTING CLASSIFICATION D11 A76VV76VV K KNAQ TOTAL PC DD FORM 1131, DEC 2003 PREVIOUS EDITION IS OBSOLETE.
13 CASH COLLECTION VOUCHER 1. DISBURSING OFFICE COLLECTION VOUCHER RECEIVING OFFICE COLLECTION VOUCHER 3. RECEIVING OFFICE b. RECEIVED AND FORWARDED BY (Printed Name,Title and Signature) d. DATE (YYYYMMDD) 4. DISBURSING OFFICE 23rd FMSU APO,AE DSN: b. DISBURSING OFFICER (Printed Name, Title and Signature) JAMES R. RICHARDSON, LTC, FC, CMD 5. PERIOD: a. FROM: b. TO: 6. DATE RECEIVED 7. NAME OF REMITTER DESCRIPTION OF REMITTANCE 1Dec13 CPT Walter Moore 96th CAB APO, AE DSN: DETAILED DESCRIPTION OF PURPOSE FOR WHICH COLLECTIONS WERE RECEIVED Overpayment of Entitlements Check # AMOUNT c. DISBURSING STATION SYMBOL 6348 d. DATE (YYYYMMDD) ACCOUNTING CLASSIFICATION 2, D11 A76VV76VV R BAPT TOTAL 2, PC DD FORM 1131, DEC 2003 PREVIOUS EDITION IS OBSOLETE.
14 CASH COLLECTION VOUCHER 1. DISBURSING OFFICE COLLECTION VOUCHER RECEIVING OFFICE COLLECTION VOUCHER 3. RECEIVING OFFICE b. RECEIVED AND FORWARDED BY (Printed Name,Title and Signature) d. DATE (YYYYMMDD) 4. DISBURSING OFFICE 23rd FMSU APO,AE DSN: b. DISBURSING OFFICER (Printed Name, Title and Signature) JAMES R. RICHARDSON, LTC, FC, CMD 5. PERIOD: a. FROM: b. TO: 6. DATE RECEIVED 7. NAME OF REMITTER DESCRIPTION OF REMITTANCE 1Dec13 PO1 Heather Cole 45th CASH APO, AE DSN: DETAILED DESCRIPTION OF PURPOSE FOR WHICH COLLECTIONS WERE RECEIVED SDP Deposit ECC # AMOUNT c. DISBURSING STATION SYMBOL 6348 d. DATE (YYYYMMDD) ACCOUNTING CLASSIFICATION $2, X201011D11 A76VV76VV K QLOG ECC 11. TOTAL $2, DD FORM 1131, DEC 2003 PREVIOUS EDITION IS OBSOLETE.
15 MULTIPLE PAYMENTS LIST Page 1 of 1 Pages PRIVACY ACT STATEMENT AUTHORITY: Title 5 USC 5516, 5517, 5520, and 5701; Title 37 USC ; and E.O PRINCIPAL PURPOSE(S): ROUTINE USE(S): Used to supplement DD Form , "Travel Voucher or Subvoucher," to substantiate claims for reimbursement when multiple individuals of an organization are performing official travel at the same time, between the same points, and accounting data is the same. The information collected may also be used as a payroll list. Information may be furnished to an employee's state and/or local taxing authorities, to comply with agreements entered into by the Secretary of the Treasury, for verification of filing information used by an individual in a tax return; in addition, release of information on this form may be made to Federal, state, local or foreign law enforcement agencies, for investigation of and possible prosecution of an individual charged with violating any law, statute, rule, regulation, or order in this claim for restitution. DISCLOSURE: Voluntary; however, failure to furnish requested information may result in total or partial denial of amount claimed. 1. TYPE OF PAYMENT (Check applicable) D.O. VOUCHER MILITARY PAY (MP) TRAVEL ALLOWANCE (TA) X OTHER (Specify) Local Pay PAID BY 2. PAYROLL (If applicable) Active Duty Enlisted 4. ORGANIZATION AND STATION 3. DATE OF COMPUTED PAYMENT rd FMSU APO AE DSSN: PAYEE IDENTIFICATION a. LAST b. FIRST c. MI d. SSN e. TRAVEL ORDER OR OTHER AUTHORITY f. AMOUNT g. SIGNATURE OR CHECK 1 Jones John Henderson David Frederick Nathan Lewis Ann Robinson Lisa Jackson Vernon Davis Patricia Utley Neil Lawson Katy Sampson Gerald Moore Henry Anderson James O'Neil Mary Patterson Frank Robertson Terry Harris Neil O'Connor Sean Perry Nick Brown Mark Cooper Lori Meyers Karen Woods Marcus Franks Lionel Newton Heidi PAGE TOTAL ACCOUNTING CLASSIFICATION D13 A76VV76VV K QLOG $ CA1 7. PURSUANT TO AUTHORITY VESTED IN ME, I CERTIFY THESE STATEMENTS ARE CORRECT AND PROPER a. NAME AND TITLE OF CERTIFYING OFFICER (Please type) b. CERTIFYING OFFICER (Signature) SSG James Johnson, Certifying Officer DD FORM , JUN 93 Replaces DD Forms 115 (MAY 74), (SEP 61), and (NOV 64), which may be used until DEC 31, 1993.
16 MULTIPLE PAYMENTS LIST Page 1 of 1 Pages PRIVACY ACT STATEMENT AUTHORITY: Title 5 USC 5516, 5517, 5520, and 5701; Title 37 USC ; and E.O PRINCIPAL PURPOSE(S): ROUTINE USE(S): Used to supplement DD Form , "Travel Voucher or Subvoucher," to substantiate claims for reimbursement when multiple individuals of an organization are performing official travel at the same time, between the same points, and accounting data is the same. The information collected may also be used as a payroll list. Information may be furnished to an employee's state and/or local taxing authorities, to comply with agreements entered into by the Secretary of the Treasury, for verification of filing information used by an individual in a tax return; in addition, release of information on this form may be made to Federal, state, local or foreign law enforcement agencies, for investigation of and possible prosecution of an individual charged with violating any law, statute, rule, regulation, or order in this claim for restitution. DISCLOSURE: Voluntary; however, failure to furnish requested information may result in total or partial denial of amount claimed. 1. TYPE OF PAYMENT (Check applicable) D.O. VOUCHER MILITARY PAY (MP) TRAVEL ALLOWANCE (TA) X OTHER (Specify) Local Pay PAID BY 2. PAYROLL (If applicable) USMC Officer 4. ORGANIZATION AND STATION 3. DATE OF COMPUTED PAYMENT rd FMSU APO AE DSSN: PAYEE IDENTIFICATION a. LAST b. FIRST c. MI d. SSN e. TRAVEL ORDER OR OTHER AUTHORITY f. AMOUNT g. SIGNATURE OR CHECK 1 Berry Matthew Klein Anthony Jasper Nathan Hunt Wendy Flowers Brandon O Malley Sheila Anderson Brian Carpenter David Utley Chase McDaniel Mark Holden Tiffany Franks Regina Nothing Follows PAGE TOTAL ACCOUNTING CLASSIFICATION D13 A76VV76VV K QLOG $2210 CA1 7. PURSUANT TO AUTHORITY VESTED IN ME, I CERTIFY THESE STATEMENTS ARE CORRECT AND PROPER a. NAME AND TITLE OF CERTIFYING OFFICER (Please type) b. CERTIFYING OFFICER (Signature) SSG James Johnson, Certifying Officer DD FORM , JUN 93 Replaces DD Forms 115 (MAY 74), (SEP 61), and (NOV 64), which may be used until DEC 31, 1993.
17 Standard Form 1034 Revised October 1987 Department of the Treasury 1 TFM U.S. DEPARTMENT, BUREAU, OR ESTABLISHMENT AND LOCATION DEPARTMENT OF THE ARMY 23RD FMSU APO AE PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL DATE VOUCHER PREPARED 12/01/2013 CONTRACT AND DATE REQUISITION AND DATE VOUCHER NO SCHEDULE NO. PAID BY 23RD FMSU APO AE ADSN 6348 PAYEE'S NAME AND ADDRESS Sayid Choukran FOB Shank, AF DATE INVOICE RECEIVED DISCOUNT TERMS PAYEE'S ACCOUNT SHIPPED FROM TO WEIGHT GOVERNMENT B/L AND DATE OF ORDER SC3201 DATE OF DELIVERY OR SERVICE ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary) DAMAGE TO LIVESTOCK QUAN- TITY UNIT PRICE COST PER AMOUNT ( 1 ) FOR INSTRUCTIONAL PURPOSES ONLY (Use continuation sheet(s) if necessary) (Payee must NOT use the space below) PAYMENT: APPROVED FOR PROVISIONAL COMPLETE BY 2 PARTIAL FINAL PROGRESS TITLE ADVANCE EXCHANGE RATE =$ =$ Pursuant to authority vested in me, I certify that this voucher is correct and proper for payment. TOTAL DIFFERENCES Amount verified; correct for (Signature or initials) CA JAMES R. RICHARDSON, LTC, FC (Date) (Authorized Certifying Officer) 2 (Title) ACCOUNTING CLASSIFICATION D13 A76VV76VV L ZFZW CHECK PA ID BY CASH ON ACCOUNT OF U.S. TREASURY DATE CHECK PAYEE 3 $ 1 When stated in foreign currency, insert name of currency. 2 If the ability to certify and authority to approve are combined in one person, one signature only is necessary; otherwise the approving officer will sign in the space provided, over his official title. 3 When a voucher is receipted in the name of a company or corporation, the name of the person writing the company or corporate name, as well as the capacity in which he signs, must appear. For example: "John Doe Company, per John Smith, Secretary," or "Treasurer," as the case may be. Previous edition usable PRIVACY ACT STATEMENT The information requested on this form is required under the provisions of 31 U.S.C. 82b and 82c, for the purpose of disbursing Federal money. The information requested is to identify the particular creditor and the amounts to be paid. Failure to furnish this information will hinder discharge of the payment obligation. PER TITLE ON (Name of bank) NSN USAPPC V1.00
18 Standard Form 1034 Revised October 1987 Department of the Treasury 1 TFM U.S. DEPARTMENT, BUREAU, OR ESTABLISHMENT AND LOCATION DEPARTMENT OF THE ARMY 23RD FMSU APO AE PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL DATE VOUCHER PREPARED 12/01/2013 CONTRACT AND DATE REQUISITION AND DATE VOUCHER NO SCHEDULE NO. PAID BY 23RD FMSU APO AE ADSN 6348 PAYEE'S NAME AND ADDRESS DATE INVOICE RECEIVED DISCOUNT TERMS PAYEE'S ACCOUNT SHIPPED FROM TO WEIGHT GOVERNMENT B/L AND DATE OF ORDER OH3201 DATE OF DELIVERY OR SERVICE ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary) DAMAGE TO HOME QUAN- TITY UNIT PRICE COST PER AMOUNT ( 1 ) FOR INSTRUCTIONAL PURPOSES ONLY (Use continuation sheet(s) if necessary) (Payee must NOT use the space below) PAYMENT: APPROVED FOR PROVISIONAL COMPLETE BY 2 PARTIAL FINAL PROGRESS TITLE ADVANCE EXCHANGE RATE =$ =$ Pursuant to authority vested in me, I certify that this voucher is correct and proper for payment. TOTAL DIFFERENCES Amount verified; correct for (Signature or initials) CA JAMES R. RICHARDSON, LTC, FC (Date) (Authorized Certifying Officer) 2 (Title) ACCOUNTING CLASSIFICATION D13 A76VV76VV R ZWQA CHECK PA ID BY CASH ON ACCOUNT OF U.S. TREASURY DATE CHECK PAYEE 3 $ 1 When stated in foreign currency, insert name of currency. 2 If the ability to certify and authority to approve are combined in one person, one signature only is necessary; otherwise the approving officer will sign in the space provided, over his official title. 3 When a voucher is receipted in the name of a company or corporation, the name of the person writing the company or corporate name, as well as the capacity in which he signs, must appear. For example: "John Doe Company, per John Smith, Secretary," or "Treasurer," as the case may be. Previous edition usable PRIVACY ACT STATEMENT The information requested on this form is required under the provisions of 31 U.S.C. 82b and 82c, for the purpose of disbursing Federal money. The information requested is to identify the particular creditor and the amounts to be paid. Failure to furnish this information will hinder discharge of the payment obligation. PER TITLE ON (Name of bank) NSN USAPPC V1.00
19 Standard Form 1034 Revised October 1987 Department of the Treasury 1 TFM U.S. DEPARTMENT, BUREAU, OR ESTABLISHMENT AND LOCATION DEPARTMENT OF THE ARMY 23RD FMSU APO AE PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL DATE VOUCHER PREPARED 12/01/2013 CONTRACT AND DATE REQUISITION AND DATE VOUCHER NO SCHEDULE NO. PAID BY 23RD FMSU APO AE ADSN 6348 PAYEE'S NAME AND ADDRESS Kareem Al'Harek FOB Shank, AF DATE INVOICE RECEIVED DISCOUNT TERMS PAYEE'S ACCOUNT SHIPPED FROM TO WEIGHT GOVERNMENT B/L AND DATE OF ORDER KA1309 DATE OF DELIVERY OR SERVICE ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary) DAMAGE TO VEHICLE QUAN- TITY UNIT PRICE COST PER AMOUNT ( 1 ) FOR INSTRUCTIONAL PURPOSES ONLY (Use continuation sheet(s) if necessary) (Payee must NOT use the space below) PAYMENT: APPROVED FOR PROVISIONAL COMPLETE BY 2 PARTIAL FINAL PROGRESS TITLE ADVANCE EXCHANGE RATE =$ =$ Pursuant to authority vested in me, I certify that this voucher is correct and proper for payment. TOTAL DIFFERENCES Amount verified; correct for (Signature or initials) CA JAMES R. RICHARDSON, LTC, FC (Date) (Authorized Certifying Officer) 2 (Title) ACCOUNTING CLASSIFICATION D13 A76VV76VV W CVAP CHECK PA ID BY CASH ON ACCOUNT OF U.S. TREASURY DATE CHECK PAYEE 3 $ 1 When stated in foreign currency, insert name of currency. 2 If the ability to certify and authority to approve are combined in one person, one signature only is necessary; otherwise the approving officer will sign in the space provided, over his official title. 3 When a voucher is receipted in the name of a company or corporation, the name of the person writing the company or corporate name, as well as the capacity in which he signs, must appear. For example: "John Doe Company, per John Smith, Secretary," or "Treasurer," as the case may be. Previous edition usable PRIVACY ACT STATEMENT The information requested on this form is required under the provisions of 31 U.S.C. 82b and 82c, for the purpose of disbursing Federal money. The information requested is to identify the particular creditor and the amounts to be paid. Failure to furnish this information will hinder discharge of the payment obligation. PER TITLE ON (Name of bank) NSN USAPPC V1.00
20 Standard Form 1034 Revised October 1987 Department of the Treasury 1 TFM U.S. DEPARTMENT, BUREAU, OR ESTABLISHMENT AND LOCATION DEPARTMENT OF THE ARMY 23RD FMSU APO AE PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL DATE VOUCHER PREPARED 12/01/2013 CONTRACT AND DATE REQUISITION AND DATE VOUCHER NO SCHEDULE NO. PAID BY 23RD FMSU APO AE ADSN 6348 PAYEE'S NAME AND ADDRESS Farrek Yakmed FOB Shank, AF DATE INVOICE RECEIVED DISCOUNT TERMS PAYEE'S ACCOUNT SHIPPED FROM TO WEIGHT GOVERNMENT B/L AND DATE OF ORDER FY4783 DATE OF DELIVERY OR SERVICE ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary) CRANE REPAIR QUAN- TITY UNIT PRICE COST PER AMOUNT ( 1 ) FOR INSTRUCTIONAL PURPOSES ONLY (Use continuation sheet(s) if necessary) (Payee must NOT use the space below) PAYMENT: APPROVED FOR PROVISIONAL COMPLETE BY 2 PARTIAL FINAL PROGRESS TITLE ADVANCE EXCHANGE RATE =$ =$ Pursuant to authority vested in me, I certify that this voucher is correct and proper for payment. TOTAL DIFFERENCES Amount verified; correct for (Signature or initials) CA JAMES R. RICHARDSON, LTC, FC (Date) (Authorized Certifying Officer) 2 (Title) ACCOUNTING CLASSIFICATION D13 A76VV76VV W CVAP CHECK PA ID BY CASH ON ACCOUNT OF U.S. TREASURY DATE CHECK PAYEE 3 $ 1 When stated in foreign currency, insert name of currency. 2 If the ability to certify and authority to approve are combined in one person, one signature only is necessary; otherwise the approving officer will sign in the space provided, over his official title. 3 When a voucher is receipted in the name of a company or corporation, the name of the person writing the company or corporate name, as well as the capacity in which he signs, must appear. For example: "John Doe Company, per John Smith, Secretary," or "Treasurer," as the case may be. Previous edition usable PRIVACY ACT STATEMENT The information requested on this form is required under the provisions of 31 U.S.C. 82b and 82c, for the purpose of disbursing Federal money. The information requested is to identify the particular creditor and the amounts to be paid. Failure to furnish this information will hinder discharge of the payment obligation. PER TITLE ON (Name of bank) NSN USAPPC V1.00
21 1. DISBURSING OFFICER DESIGNATION Your Name 2. RATES OF EXCHANGE (Number of Foreign Currency Units to one U.S. Dollar) 3 FC to 1 US Dollar 3. DATE DSSN: NAME OF CASHIER OR DEPUTY: Cashier #1 6. RECEIVED FROM CUSTOMER 7. DISBURSED TO CUSTOMER 8. NAME AND OTHER INFORMATION a. TYPE OF NEGOTIABLE INSTRUMENT RECEIVED (Personal check, etc.) b. U.S. CURRENCY AND COIN c. FOREIGN CURRENCY d. TOTAL a. U.S. CURRENCY AND COIN b. FOREIGN CURRENCY c. Eagle Cash Card d. TOTAL REQUIRED BY DISBURSING OFFICER ON PERSON FOR WHOM EXCHANGE IS MADE PFC Jones EC CPT Kingston LT Evans PC# EC SSG Lowe EC SPC Halstead PC # MAJ Waters EC SGT Calhoun EC CW3 Anderson PC# SFC Snow A1C Dent EC LCpl Nieves EC LTC Matthews PC# EC GySgt Brown EC TSgt Eamon EC LT Ingles Total 2, , DD Form 2664
22 Eagle Cash Card Sales Receipt December 1, 2013 Card Number Amount $ $ $2, $ $ $2, $ Grand Totals Sales 7 $5, Please Keep For Your records
23 SVC Card Processing Load Transaction Detail Report - All Types 12/01/2013 to 12/01/2013 Card Number Transaction $ $ $ $ $ $ $ Total Transactions 7 $1, Average Transaction Amount $178.57
24 Batch List Batch: (WBA187AB S2F-88GE-0662A ) Date: 12/01/2013 5:20PM Printed By: Cashier #1 S T IRN Capture Time Bank No. Acct. No. Check No. Amount User Defined Fields A P :50:00 PM $3, A P :35:00 PM $ A P :23:00 PM $2, A P :46:00 PM $1, A P :13:00 PM $ A P :56:00 PM $ A P :32:00 PM $ A P :06:00 PM $ A P :43:00 AM $ A P :34:00 AM $3, A P :23:00 AM $ A P :14:00 AM $1, Sub Total: Count: 12 Amount: $13, OTC Endpoint Total Count: 12 Amount: $13, Grand Total: Count: 12 Amount: $13,207.63
Page 12 International Military Students & Medical Care Standard For m 1034 Revised October 1987 PUBLIC VOUCHER FOR PURCHASES AND Department of the Treasury 1 TFM 4-2000 SERVICES OTHER THAN PERSONAL 1034-121
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